Affordability is a major area of ​​concern because while other countries embrace universal, low-cost healthcare, the United States views healthcare as a cash cow with the cost of healthcare ever increasing. The United States has the most expensive healthcare system in the world, but the quality of service people receive is often less than stellar. Additionally, another reason why the United States ranks so low is equality. In the United States, people considered low-income do not go to the doctor, which means they do not attend wellness visits, nor do they receive adequate medications to combat their disease. While in other countries they regularly go to the doctor despite their economic status (Mirror, Mirror on the Wall, 2014). Moving to Mental Health and Substance Abuse The global burden of neuropsychiatric diseases and related mental health conditions is enormous, under-reported, and under-resourced, particularly in developing countries (Ngui, 2010). Mental health and issues revolving around the disease are still very taboo compared to the United States, which makes accurate diagnosis and treatment of the disease very difficult. With the stigma and discrimination surrounding the disease there are some countries like